Health Net Insurance Coverage for Alcohol and Drug Treatment Facilities Near Me

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Does Healthnet Insurance Cover Alcohol and Drug Rehab?

With a Healthnet insurance plan, you can access treatment and services for an alcohol or drug misuse issue.^1(p1) Healthnet insurance benefits offer a whole range of behavioral healthcare services.^1(p1) Behavioral health services are provided through MHM, a Healthnet company. ^1(p1) Some of the basic behavioral health care they provide includes:^1(p1)

Sessions with psychologists, psychiatrists, or therapists.
Inpatient and outpatient treatment.
Follow-up care.
Aftercare.

When you contact the rehab center that you plan to go to, they will verify your Healthnet plan coverage based on the information you provide. You can also call the insurance company directly to ask about your policy details.

What Is Healthnet Insurance?

Healthnet insurance got its start more than 4 decades ago in California.² With 2,600 employees, and 90,000 network providers throughout California, they are positioned to provide top health care plans and coverage for residents.² They are focused on health equity, ensuring that people of all backgrounds and socioeconomic status can obtain health care.² Thus far, there are over 3 million Healthnet members.²

Healthnet Plans

Healthnet insurance California provides several options for its members to receive treatment and services. They offer a range of plans to fit every need, and even extend it to Oregon and Washington residents. These plans are as follows:

Individual and Families: Choose HMO or PPO³
Medicare Advantage Plans in California⁴
Medicare Advantage Plans in Oregon & Washington⁴
Cal MediConnet⁴
California Medigap⁴
Medi-Cal: California’s Medicaid program⁵

You can check your insurance card to see which plan you have and the specific policy.

What Will Healthnet Insurance Cover?

You may be wondering what your Healthnet Insurance drug treatment plan will cover as you begin the path to recovery. The extent of your Healthnet Insurance substance use treatment coverage depends on what type of policy you have. Whether you have a PPO, HMO, or one of the others can make a difference in how much the plan will cover.

The other important issue to consider is what type of treatment you need. Some people require more extensive treatment programs than others. A case manager can assist you in creating a treatment plan that fits your life and needs.

The following treatment programs should have some type of coverage:

Inpatient treatment program. Attending an inpatient treatment program is like staying in a residential or hospital-like setting. You will stay all night for an extended time. Inpatient care is the most thorough, with the length varying from weeks to months. Medical clinicians will be there to provide therapy and monitoring as you go through the withdrawal process.⁶

Partial hospitalization program (PHP). At a PHP, you will need to have some level of support at home because you won’t stay overnight. You’ll get a full day of services and therapy, then return to your residence at night. This program can be a solid treatment program for someone who is backed by a supportive family.⁷

Intensive outpatient program (IOP). Once you’re ready for more time on your own, you may be ready to transition to an IOP. This outpatient program consists of treatment for several hours and days a week. ⁶

Outpatient treatment program and therapy. An outpatient program keeps you on the right track with your goals. You will learn relapse prevention techniques and tools.⁶

Does Healthnet Cover Behavioral Health?

An essential component of any drug rehab program is behavioral health, which includes therapy. Evidence-based therapy will provide you with the tools for recovery. Some of the main therapies that are used in drug or alcohol recovery include:⁸

Motivational enhancement therapy.
Contingency management interventions.
Community reinforcements 12-step program.
Family therapy.
The Matrix Model program.
Cognitive-behavioral therapy.

You can check your Healthnet insurance rehab coverage to determine what type of services are covered under your plan. Most insurances allow therapy sessions, but they may have a certain copay.

Does Healthnet Insurance Cover Inpatient Mental Health Treatment Facilities?

You may have a mental health disorder in addition to substance misuse. These 2 conditions can occur together, and when they do, it’s best to treat them together. ^9(treat) Co-occurring mental health and substance use disorders are common.⁹ Since a substance use disorder is also categorized as a mental health disorder, there may be other mental illnesses that also co-occur with it.^9(over) Some common conditions that may co-occur with substance misuse include: ^10(2nd)

Bipolar disorder.
Generalized and other anxiety disorders.
Post-traumatic stress disorder.
Mood disorders.
Major depressive disorder.
Attention deficit hyperactivity disorder.
Schizophrenia.
Conduct disorders.

You can check with one of the Healthnet Insurance drug treatment programs near you to find out if they offer treatment for co-occurring disorders before you begin the admissions process. As with all marketplace insurance plans, Healthnet plans follow the Affordable Care Act’s (ACA) mandates concerning essential health benefits. This mandate states that insurance providers must give members coverage for mental health and substance use disorders.¹¹

How Long Does Healthnet Insurance Cover Rehab?

Healthnet substance use treatment plans will vary in how much they cover. For one thing, you’ll need to find out which plan you have. There may be limits on the length of time the insurance will pay for Healthnet inpatient rehab.

It’s also vital to determine how much time you need to be in a program. That may depend on how long you used the substance, how much you took, and other contributing factors. Some people find that they benefit from an extensive amount of time in treatment due to the supportive environment. Most experts say you should be in inpatient rehab for at least three months minimum.¹²

You can check with your Healthnet insurance to find out the specific policy you have and how long it will cover.

What if My Healthnet Policy Does Not Cover Rehab?

If you find out that your Healthnet individual plan does not cover rehab, you still may have other financial options available to you. You can check with 1 of the Healthnet Insurance drug treatment providers in your area to find out if they offer financial aid, scholarships, or other reduced-fee plans. You may be eligible for programs based on your income or insurance status. It’s best to ask instead of putting it off down the road until a later time.

Healthnet In-Network vs. Out-of-Network Rehab Centers

Healthnet Insurance rehab centers that are contracted with the insurance company will be in network for you. This allows you to receive services and not have to pay out of pocket. The reduced costs get passed on to you if you’re using in-network providers.

Providers that are out of the network won’t offer this type of benefit, and you may end up paying substantial costs on your own.

Check with the Healthnet rehab first to make sure they are a network provider.

Check Healthnet Insurance Coverage for Addiction Treatment

Healthnet insurance rehab can cover treatment for drug and alcohol addiction. The type of plan you have may determine what copays, coinsurance, or deductibles you need to pay. To get a quick answer about insurance verification, you can contact American Addiction Centers (AAC) and someone there will verify your coverage while you wait on the phone.

Additionally, you can fill out the form on this page to get an immediate answer without actually speaking to anyone. However, if you call the Healthnet hotline, you will be able to talk to the admissions navigator about the treatment programs they have, and they will direct you to a rehab near you. Get in touch with someone today and begin your journey to a new future.